Home-based intervention and monitoring in spinal cord injury: evaluating method and compliance in a telehealth trial.

Parittotokkaporn, T; Pylypchuk, R; Lawrence, A; Mathew, B; Subramanian, S; O'Carroll, SJ

Home-based intervention and monitoring in spinal cord injury: evaluating method and compliance in a telehealth trial.

Parittotokkaporn, T Pylypchuk, R

Lawrence, A Mathew, B Subramanian, S O'Carroll, SJ

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Publisher:: Taylor & Francis
Publication Type:: Journal Article
Citation:: Home Health Care Serv Q, 2025, ahead-of-print, (ahead-of-print), pp. 1-16
Issue Date:: 2025-07-03

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Field	Value	Language
dc.contributor.author	Parittotokkaporn, T
dc.contributor.author	Pylypchuk, R https://orcid.org/0000-0002-8507-0467
dc.contributor.author	Lawrence, A
dc.contributor.author	Mathew, B
dc.contributor.author	Subramanian, S
dc.contributor.author	O'Carroll, SJ
dc.date.accessioned	2025-08-06T04:34:36Z
dc.date.available	2025-08-06T04:34:36Z
dc.date.issued	2025-07-03
dc.identifier.citation	Home Health Care Serv Q, 2025, ahead-of-print, (ahead-of-print), pp. 1-16
dc.identifier.issn	0162-1424
dc.identifier.issn	1545-0856
dc.identifier.uri	http://hdl.handle.net/10453/189275
dc.description.abstract	Telehealth, accelerated by the COVID-19 pandemic, has become essential in-home health care, particularly for individuals with spinal cord injury (SCI). However, traditional telehealth often lacks adequate remote intervention and monitoring for SCI patients. This study evaluated a novel telehealth trial using transcutaneous electrical stimulation (TES) with innovative approaches to improve bladder function in SCI patients. Fifteen participants completed daily 15-minute TES sessions over four weeks, supported by courier-delivered equipment, video conferencing, and online assessments with self-reported monitoring at home. The trial achieved 100% adherence, with 80% of participants expressing confidence in device use and 87% indicating willingness to continue TES. Most participants found the device user-friendly, and 66% reported symptom improvement. This study highlights the potential of telehealth trials to enhance access to care, improve patient outcomes, and promote health equity in home care settings, particularly during periods of restricted in-person healthcare delivery.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Taylor & Francis
dc.relation.ispartof	Home Health Care Serv Q
dc.relation.isbasedon	10.1080/01621424.2025.2522702
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing, 1117 Public Health and Health Services
dc.subject.classification	Gerontology
dc.subject.classification	4203 Health services and systems
dc.title	Home-based intervention and monitoring in spinal cord injury: evaluating method and compliance in a telehealth trial.
dc.type	Journal Article
utslib.citation.volume	ahead-of-print
utslib.location.activity	England
utslib.for	1110 Nursing
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/UTS Groups
pubs.organisational-group	University of Technology Sydney/UTS Groups/Women & Children’s Health Research Collaborative (WCHC)
pubs.organisational-group	University of Technology Sydney/UTS Groups/INSIGHT: Institute for Innovative Solutions for Wellbeing and Health
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2025-08-06T04:34:32Z
pubs.issue	ahead-of-print
pubs.publication-status	Published online
pubs.volume	ahead-of-print
utslib.citation.issue	ahead-of-print

Abstract:

Telehealth, accelerated by the COVID-19 pandemic, has become essential in-home health care, particularly for individuals with spinal cord injury (SCI). However, traditional telehealth often lacks adequate remote intervention and monitoring for SCI patients. This study evaluated a novel telehealth trial using transcutaneous electrical stimulation (TES) with innovative approaches to improve bladder function in SCI patients. Fifteen participants completed daily 15-minute TES sessions over four weeks, supported by courier-delivered equipment, video conferencing, and online assessments with self-reported monitoring at home. The trial achieved 100% adherence, with 80% of participants expressing confidence in device use and 87% indicating willingness to continue TES. Most participants found the device user-friendly, and 66% reported symptom improvement. This study highlights the potential of telehealth trials to enhance access to care, improve patient outcomes, and promote health equity in home care settings, particularly during periods of restricted in-person healthcare delivery.

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http://hdl.handle.net/10453/189275